Minimally invasive (sinus tarsi) approach for calcaneal fractures
- PDF / 3,188,332 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 4 Downloads / 197 Views
RESEARCH ARTICLE
Open Access
Minimally invasive (sinus tarsi) approach for calcaneal fractures Zhe Wang1, Xiu Hui Wang2*, Sheng Long Li3, Xin Tang1*, Bei Gang Fu2, Ming Hui Wang2 and Sheng Li Xia2
Abstract Background: According to the anatomic characteristics of the calcaneus and the sinus tarsi approach, we designed a combined plate. The goal of this study was to retrospectively assess the functional outcomes and complications of treatment with our self-designed plate. Methods: From March 2014 to October 2015, 18 patients with closed calcaneal fractures (14 Sanders type II and 4 type III) were treated with our combined locking plate through a minimally invasive sinus tarsi approach. All patients underwent both clinical and radiological evaluations. Results: The follow-up duration for all patients ranged from 6 to 13.5 months. The radiographs demonstrated significant corrections of the calcaneal width, length, height, Böhler angle, and Gissane angle from preoperatively to 3 months postoperatively and the last follow-up. However, there were no significant differences in the variables between 3 months postoperatively and the last follow-up. The mean Maryland foot score was 88.1 ± 8.8, in which excellent outcomes were achieved in 11 patients, good in 4, and fair in 3 (excellent and good rate, 83.3% (15 of 18)). No statistical significances in the mean Maryland foot score (88.1 ± 8.8 vs 87.8 ± 10.1, p = 0.9), and the excellent and good rate (85.7 vs 75.0%, p = 1.0) was found between type II and type III fractures. No complications were observed in all fractured feet. Conclusion: Treatment with our self-designed combined plate through a sinus tarsi approach may be safe and effective for type II and type III calcaneal fractures. Keywords: Calcaneal fractures, Sinus tarsi, Combined plate fixation
Background Fractures of the calcaneus are commonly encountered clinical injuries resulting from high-energy trauma. They account for 1 to 2% of all fractures and 60% of all tarsal fractures. According to the results of the computed tomography (CT) scanning, the calcaneal fractures can be classified into four categories, among which the Sanders types II and III fractures are the most common types [1]. Thus, the development of effective and safe treatment strategies for these two fracture types has always been a hot issue among orthopaedic surgeons [2]. Currently, open reduction and internal fixation through the lateral L-shape extensile incision has been * Correspondence: [email protected]; [email protected] 2 Department of Orthopedics, Shanghai Zhoupu Hospital, Pudong New Area 1500, Rd Zhouyuan, Zhoupu, Shanghai 201318, China 1 Department of Orthopedic Trauma, The First Affiliated Hospital of Dalian Medical University, 222, Rd Zhongshan, Xigang District, Dalian, Liaoning Province 201318, China Full list of author information is available at the end of the article
considered as the gold standard surgical therapy for calcaneal fractures. This approach provides a large view to expose the fractures, allowing accurate reduction
Data Loading...
